Male or Other

Peter E. Sices MD

Internal Medicine Physician in Grand Rapids, MI(View on Map)

Full Name

Peter E Sices MD

NPI Number

1245212893

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/18/2005

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Licenses

State

Indiana
Michigan

License Number

01053431A
4301098767

Contact
Information

Purpose

Mailing
Location

Address

36123 SCHOOLCRAFT
235 WEALTHY ST SE

City

Livonia
Grand Rapids

State

MI
MI

Postal Code

48150-1216
49503-5247

Country

US
US

Telephone Number

(734) 793-6140
(734) 793-6140

Identifiers

Identifier

200308650B
4301099867
200479394

Identifier State

IN
MI
IN

Identifier Issuer

Unknown
LICENSE
TAX IDENTIFICATION

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/18/2015

Provider Address

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